DR. SHIREEN MUKADAM M.D.
NPI 1760825236
Pediatrics in Loma Linda, CA
About Dr. Shireen Mukadam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIREEN MUKADAM M.D. (NPI 1760825236) is an individual pediatrics provider in Loma Linda, California, licensed in California (137306) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shireen Mukadam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shireen Mukadam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shireen Mukadam's NPI number?
The NPI number for Shireen Mukadam is 1760825236. It was assigned to this individual provider in the NPPES registry on April 15, 2013.
Where is Shireen Mukadam located?
Shireen Mukadam practices at 25845 Barton Rd, Loma Linda, CA 92354. The listed phone number is (909) 558-2828.
What is Shireen Mukadam's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shireen Mukadam enrolled in Medicare?
Yes. Shireen Mukadam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shireen Mukadam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shireen Mukadam reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shireen Mukadam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shireen Mukadam was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shireen Mukadam, M.D. · NPI 1760825236
Pediatrics physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 15, 2013.
## Identity
- **NPI:** 1760825236 (Entity type: Individual)
- **Enumerated:** April 15, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 137306 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25845 BARTON RD, Loma Linda, CA 92354-3899
- **Phone:** (909) 558-2828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1275583007, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1760825236) · Data from the CMS NPPES public registry.